sertraline induced bruises in a patient with separation anxiety disorder and familial idiopathic thrombocytopenic purpura: a case report

Heterogeneous findings have been reported regarding the effects of anti-depressive drugs over platelet counts. among antidepressant drugs, selective serotonin reuptake inhibitors (ssris) has been shown to reduce platelet aggregation. we report a patient with reduction in her platelets counts as well as bruising occurrence following three days of receiving sertraline. in patients with a history of bleeding, itp or familial itp, their psychiatric treatment and prescribing ssri should be done with caution.